Individual provider Active NPI

Lawrence Kerwin a. Umali, PHYSICAL THERAPIST

  • Specialist
  • Woodbridge, NJ
National Provider Identifier
1629211339
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA01307300 Issued in NJ
Practice address
329 Amboy Ave
Woodbridge, NJ 07095-2975
Phone
(732) 602-9511
NPI assigned
Apr 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 40QA01307300 NJ Primary

Addresses

Primary practice location

329 Amboy Ave
Woodbridge, NJ 07095-2975

Mailing address

329 Amboy Ave
Woodbridge, NJ 07095-2975
Phone (732) 602-9511

Other identifiers 1

IdentifierTypeStateIssuer
40QA01307300OtherNJPHYSICAL THERAPIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090625000391 NJ Practitioner - Physical Therapist in Private Practice 5890846240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians

Practice addresses (Care Compare)

234 Stelton Rd
2ND
Piscataway, NJ 08854-3244
Phone (732) 968-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01307300NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare of America, PC CurrentSince Jan 7, 2016 Accepting new patients
United Sports Care & Physical Therapy CurrentSince Jul 1, 2015 Accepting new patients
Therapeutix of NJ Past Accepting new patients

Locations

47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

234 Stelton Rd
Fl 2
Piscataway, NJ 08854
Phone (732) 968-1999

329 Amboy Ave
Woodbridge, NJ 07095
Phone (732) 326-2468

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1629211339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 AMBOY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952975",
            "telephone_number": "732-602-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 AMBOY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952975",
            "telephone_number": "732-602-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMALI",
        "first_name": "LAWRENCE",
        "middle_name": "KERWIN A.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01307300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "40QA01307300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.